| Centerwell Senior Primary Care-decker Blvd | |
|
2738 Decker Blvd Ste A Columbia SC 29206-1735 | |
| (803) 969-0543 | |
| (877) 958-9029 |
| Full Name | Centerwell Senior Primary Care-decker Blvd |
|---|---|
| Speciality | Internal Medicine |
| Location | 2738 Decker Blvd Ste A, Columbia, South Carolina |
| Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
| Authorized Official Contact | 4074477120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerwell Senior Primary Care-decker Blvd 4700 Millenia Blvd Ste 650 Orlando FL 32839-6013 Ph: (407) 447-7120 | Centerwell Senior Primary Care-decker Blvd 2738 Decker Blvd Ste A Columbia SC 29206-1735 Ph: (803) 969-0543 |
| NPI Number | 1356040992 |
|---|---|
| Provider Enumeration Date | 03/02/2023 |
| Last Update Date | 08/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356040992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
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